MEDICINE has long been regarded as a prestigious and celebrated field of education globally, and Pakistan has been no exception. However, the dynamics within the medical profession in Pakistan have been shifting dramatically over the past few decades. The commercialization of medical education, coupled with numerous systemic challenges, has significantly altered the career trajectory for many young doctors.
One of the primary factors contributing to these changes is the proliferation of private medical colleges and foreign universities. The rapid, unchecked increase in the number of medical graduates has led to what can be termed a “population boom of doctors.” This surge has saturated the job market, making it increasingly difficult for fresh graduates to secure career advancement and growth opportunities.
The challenges for newly minted doctors are immense. Many are compelled to undertake unpaid house jobs, and those in residency programs often earn between 40,000 to 60,000 PKR per month—wages that are often lower than those of clerks and nursing staff. This disparity is disheartening for doctors who have invested significant time and resources into their education.
The College of Physicians and Surgeons Pakistan (CPSP) has also faced criticism for its examination criteria. The focus on rote memorization rather than practical clinical skills, coupled with a high passing threshold of 75% with relative marking, does little to equip doctors for real-world medical challenges. This approach tends to emphasize theoretical knowledge over practical competency, further straining the already challenging landscape.
Moreover, securing a job in Pakistan’s medical sector often hinges more on connections than on merit. Those with the right references can find lucrative positions, while highly qualified but less connected individuals struggle to find employment. This nepotism exacerbates frustration and disillusionment among young doctors.
The working conditions for those who do secure jobs are far from ideal. Grueling 30-hour shifts and impractical job rotations contribute to burnout and a callous attitude toward patient care. These harsh conditions not only affect the doctors’ well-being but also compromise the quality of healthcare services.
As a result of these numerous challenges, many doctors are seeking opportunities abroad. The brain drain of medical professionals is a significant concern, as it depletes Pakistan’s healthcare system of its most talented and trained individuals. Many young doctors, disillusioned with their prospects at home, aim to pass medical licensing exams in the USA or UK, further contributing to the exodus. The implications of this trend are dire.
The constant departure of skilled doctors undermines the quality and performance of Pakistan’s already struggling health system. It also discourages future generations from pursuing a career in medicine within the country, knowing that the sacrifices may not yield the expected rewards.
To address these issues, significant reforms are needed. The government must take steps to regulate medical education more stringently, ensuring that private colleges adhere to high standards and that the number of graduates aligns with the job market’s capacity. Improving working conditions, ensuring fair compensation, and eliminating nepotism in job placements are crucial measures to retain talent within the country.
In conclusion, the welfare of doctors is instrumental in the growth and development of Pakistan’s medical profession. The government and relevant authorities must recognize the gravity of the current situation and take proactive steps to create a more supportive and sustainable environment for medical professionals. Only then can the field of medicine reclaim its prestige and continue to serve the people of Pakistan effectively.
—The writer is contributing columnist.
